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Home My WebLink AboutPermit Building 2003-12-19 a-CITY VI' ~rK11~uI'IJ'..LU Building/Combination Permit PERMIT NO: cOM2003-01172 ISSUED: 12/19/2003 APPLIED: 11/24/2003 EXPIRES: 06/19/2004 VALUE: $ 8,361.40 .-. Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2596 MAlA LP ASSESSOR'S PARCEL NO.: 1703251405300 Springfield TYPE OF WORK: Manuf Home w Garage/Carport Private TYPE OF USE: lIIolv Residential I DEVELOPMENTlNFORMATION I SETBACKS ~OU .~ U\1QS . \'l.\\\~ Front yard Setback: ~~~ 0(\ "U~fQY Dist: Side 1 Setback: Q~O'(\ \~-&11l O'~ate 6tgmt Trees Rqd: Side 2 Setback: l"\\O~"~e6 ~~g~p..fI, ~~i ~rive Rqd: Rearyard ~5i!~u\Q6 III ~,. ~~~" 0\ \\'I8~'lf~t Coverage: Solar Setb~~'fI1\o(\ Ce '\ ..QO'\O ~~\e'<>"'e \e\'9AAO\.\\O'(\ ,/,,,a; - rfI' ~J^\'tI. . -,~" ',_.\'..... ~Op..~ ~;~&~ ~'(\\~,. ~1'l;\)\~j.rhf.<<; IMPROVEMENTS I Street Imprll)lt~q,_\"Q(~e01~C'".~,. NOT1CE:Side'Xalk[:I:V~PIRE IF THE WORK ,~~(\O ,\,," THIS PERMIT ::,HALI:. S NOT Storm Sewer Av~........ r~A'''' 1l:)'ow\'f,JJell~tWiJs?ERMIT I Special Instruction: All infrastructure is private ~~~~~N~t~D OR IS ABANDONED FOR Notes: ANY 180 DAY PERIOD. PROJECT DESCRIPTION: MH with carport Owner: DONALD GIBSON Address: 1475 GREEN ACRES #57 EUGENE OR 97408 Contractor Type General Electrical Manuf Home Inst Plumbing I CONTRACTOR INFORMATION I Contractor License HARRISON JACOBSON INC 66447 ROBS ELECTRIC INC 156678 HARRISON JACOBSON INC 66447 HARRISON JACOBSON INC 66447 I BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: 1 R-3 # of Stories: I Height of Structure Type of Heat: Forced Air Elect Water Type: Electric Range Type: Electric Energy Path: VN 3 Paee10f3 Phone Number: 541-687-0223 Expiration Date 05/07/2004 08/14/2005 05/07/2004 05/07/2004 Phone 541-689-7762 541-686-5444 541-689-7762 541-689-7762 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GarageJCarpnrt Sq Ft Other: Impervious Surface Area: 5,376 1,296 378 3 REQUIRED PARKING Total: 2 Handicapped: Compact: Yes 31.10 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Cnrport Foundatinn Onlv Manuf Home Carport Use Bid Amount Manufactured Home Fee Description Plan Review Residential + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Ea Add Addressing Assignment Annexed 1979 or Before Garnge/Carport Manuf Home State Issuance Manufactured Home Connectinn Manufactured Home Feeder Manufactured Home Placement Manufactured Home Service Plan Review - Planning Sanitary Sewer - 1st SO Feet Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC Sanitary/Storm Admin SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Storm Drainage Impervious Area Storm Sewer - 1st SO Feet Water Line - 1st 50 Feet Willamalane Manuf Home Private Total Amount Paid . . l...H f 01' ~rKll'1GFIELD Building/Combination Permit PERMIT NO: cOM2003-01172 ISSUED: 12/19/2003 APPLIED: 11/24/2003 EXPIRES: 06/19/2004 VALUE: $ 8,361.40. I Valuation Descrintion I $ Per Sq Ft or multiplier $16.30 $1.00 $1.00 Square Footage or Bid Amount 378.00 2,200.00 52,000.00 Total Value of Project Value $6,161.40 $2,200.00 $52,000.00 $60,361.40 Date Calculated 11/24/2003 11/24/2003 11/24/2003 Fpp<, PIilIJ Amount Paid Date Paid Receipt Number $64.74 $54.26 $37.98 $3.00 $8.00 $-154.78 $99.60 $30.00 $45.00 $50.00 $160.00 $50.00 $59.00 $45.00 $326.99 $430.16 $10.00 $214.23 $314.63 $83.29 $52.00 $727.42 $164.89 $672.22 $45.00 $45.00 $1,000.00 11/24/03 12/19/03 12/19/03 12/19/03 12/19/03 12/19/03 12/19/03 12/19/03 12/19/03 12/19/03 12/19/03 12/19/03 12/19/03 12/19/03 12/19/03 12/19/03 12/19/03 12/19/03 12/19/03 12/19/03 12/19/03 12/19/03 12/19/03 12/19/03 12/19/03 12/19/03 12/19/03 1200200000000002508 1200200000000002640 1200200000000002640 1200200000000002640 1200200000000002640 1200200000000002640 1200200000000002640 1200200000000002640 1200200000000002640 1200200000000002640 1200200000000002640 1200200000000002640 1200200000000002640 1200200000000002640 1200200000000002640 1200200000000002640 1200200000000002640 1200200000000002640 1200200000000002640 1200200000000002640 1200200000000002640 1200200000000002640 1200200000000002640 1200200000000002640 1200200000000002640 1200200000000002640 1200200000000002640 $4,637.63 I Plan Reviews I Paee 2 00 . . CITY OF SPRINul'lJ!,LD Building/Combination Permit PERMIT NO: cOM2003-01172 ISSUED: 12/19/2003 APPLIED: 11/24/2003 EXPIRES: 06/19/2004 VALUE: $ 8,361.40 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Initial Review 11/29/2003 12/03/2003 APP LLH Delay in initial plan review review due tn Thanksgiving holiday and two vacation days. Planninl! Review Public Works Review 12/03/2003 12103/2003 12/19/2003 12/09/2003 APP TAJ APP MS Structural Review 12103/2003 12/08/2003 APP DLM 12/9/2003 - All infrastructure is private -MS Standard plan review conmments with carport To Request an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. I..Jis"mired InSD~ I Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing andlor fnundation inspectinn. 2 Footing: After trenches are excavated. 3 Framing Inspection: Prior to cover and after all rough in inspectinns have been approved. 4 ManufHome Set Up: When installation of all piers or stands is complete. 5 Final Manuf Home Set Up: After all required inspections are requested and approved and porches, skirting, decks, venting, street address numbers, trees, driveway, etc. have been installed. 6 Final Building: After all required inspections have been requested and approved and the building is complete. 7 Water Line: Prior to filling trench and including required testing. 8 Sanitary Sewer Line: Prior to filling trench and including required testing. 9 Storm Sewer Line: Prior to filling trench. 10 Manuf Home Plumbing: After home has been connected to water and sewer. II MH Electric: When blocking, setup and plumbing inspections have been approved and the home is connected to the panel. 12 Rough Electric: Prior to Cover 13 MH Service: Apprnval required prior to utility company energizing service. 14 Final Electric: When all electrical work is complete. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all infnrmation hereon is true and correct, and I further certify that any and all work performed shall be done In accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further ngree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, th~he permit card is located at the front of the property, and the approved set nf plans will remain on the site at all ti:r n'_C_OJn'~(ti~_______ '--_'",- ~___ b ~ JJt "'- {1..~ \ 'i - OJ Owner or Contractors Signature ~ Date Pal!e3of3 t" 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone JoblJournal Number COM2003-01172 COM2003-01l72 COM2003-01172 COM2003-0 1172 COM2003-01172 COM2003-0 1172 COM2003-0 1172 COM2003-0 1172 COM2003-0 1172 COM2003-0 1172 COM2003-01172 COM2003-0 1172 COM2003-0 1172 COM2003-0 1172 COM2003-0 1172 COM2003-01172 COM2003-0 1172 COM2003-0 1172 COM2003-0 1172 COM2003-01172 COM2003-0 1172 COM2003-0 1172 COM2003-01172 COM2003-01172 COM2003-01172 COM2003-01172 Payments: Type of Payment Check f1 -r;:.-....~':. ~...... ...... ." ~.,. , >. :A:!.:: ~ "wP . '~."'"'''' "'", -' "'...~' " Receipt #: 1200200000000002640 Description Addressing Assignment Willamalane ManufHome Private Manufactured Home Feeder Manufactured Home Service Add, Alter, Extend Circ Ea Add Garage/Carport Manufactured Home Placement ManufHome State Issuance Sanitary Sewer - 1st 50 Feet Water Line - 1st 50 Feet Storm Sewer - 1 st 50 Feet Manufactured Home Connection, Storm Drainage Impervious Area Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Transpo Reimbursement SDC Transpo Improvement - SDC MWMC Reimbursement SDC MWMC Improvement SDC MWMC Administration SDC Sanitary/Storm Admin SDC Transpo Admin Annexed 1979 or Before Plan Review - Planning + 7% State Surcharge + 10% Administrative Fee Paid By GOODEN HARRISON Roeeived By djb Check Number Batch Number Authorization Number City of Springfi~ld Official Receipt- Development Services Department ' Public Works Department. . Date: 12/19/2003 2:29:44PM Amount Paid Item Total: 8,00 1,000,00 50,00 50,00 3.00 99.60 160.00 30.00 45.00 45,00 45,00 45,00 672,22 430.16 326.99 164.89 727.42 314.63 214,23 10,00 83,29 52.00 (154.78) 59.00 37.98 54.26 $4,572.89 . . How Received In Person Payment Total: Amount Paid $4,572.89 $4,572.89 :':;:"~-;-:';,,: .i: - CITY'OP-SPFTGFlELD {OREGON""-i', --,:.' .'-, :;~;:::~':~~.:...:..;.~:::.-).~;,:~:~, ,,~. ,.- .;~..~...,.:', ~. ,-.'.........~. ,', _~.'.__:_,(.~ .;~.:. ., _. ~ _:;:",-:-:J- ,:' '" ~ towing project as submitted has the following and does not require specific land use 2b FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726'!l'689vaI.O C C 10 Zoning /......Uf<- ELE TRICALPERMITAPPLI ~T tv :'~;;~~~.~~n~ ~a_. ,'\~:~::~ r.;l~\.il 0 am?r' ", ;~~',C1"""",.."*""",~",,,,=,.'l' .tit~~. . - - r ' - A. m_~'~?""";1i\mt"ll)lITII~~S"""'.!!01 ~:L'ti"J~'W!11_r:"14._*""_~""""I'_I]W..w,\.:~gt' '-_ LEGAL DESCRIPTION ,_ e, ....~.l:'l~...m.g.Mr 'l!~ .7~aml Ytl!,!;[$!!.'Y."-,1,I)J;I!',.!l1 ". . I, . 0 ~ . 2"5 . '4 . 0 c; 300 Service Included JOB DESCRIPTION 1000 sq. ft. or less , mf\ nr , , ~/WV) LJ "" 1\ pJYt Each additional 500 sq. ft. or ~~J J(--, ~ \'llll portion thereof Permits are n, ntransferable and exp;re if work -. Each Manufact'd Home or not started wi.yn 180 days of issuance or if work is Modular Dwelling Service or Suspcnded for 180 days. Feeder .A:il& U70U! ~~~~!il';;".~=""',,":~'"";'/;~liI!!!'i~1!l Supervisor License Number ~ -( 7! c. .. J,eUlRq~:fI....~~~i~~~~r;t~ ,cr: ~w~~~~rifri_' - - - 'ok : .,~ (. \ VI requite IJj\'[ Expiration Date 0 ~ CD ( _0 if N"I~!~r:ai'O~~~ffit!i0regR.t\~~~&'lI , AI TE ef.OO~~d 1'/ rules are s - S 50.00 /" r r10' , IloVl ful ; W~ OAR 9S2fi'\ Constr. Contr. Number --.J :->.Ill\iJ t, ,0 \t\cat\~B~ si()1Rq~ h ru\aCl' S 69.00 '10\ S~ ~taWlSbt>Jifjl. 01\ eA SlOO 00 Expiration Date ~- ~ 6'-/ '1~'Jj-fjAR 9 "~a~ 0 a ~,^t,dh. eteleph::'.. . . , U\J90'1::~~$~~~~. ~. .,??..~v~~~:a'l. '~i t;i)~.': ~ Signature of Supervising Electrician calflber~_~~' , -.-/ / '-"""'A" - '. _ nU 'N...Wt~'1-atio-n or Extension Per Panel ~ ",...-....../ -------- One Circuit S 43.00 , _ . X Each Additional Circuit or with , 11 UV Y 1.ill1:t Service or Feeder Permit ,- S 3.00 ,J · , (\. 'P<:"'OE.] ~'\;If:I'Ji'e1,1m(~iI'~flW7dlt!E1fchr~f.illltti~ ! J.I 'I~Nfu',~-..;;<'d..""J't;l~ftc ~ f.- <:~~..._.,....."''"'....~'''~..........~ ?-.H'IS DFRMIT SHAll EXP .".-/' Pump odrrigatio\!{ THIS PERMIT IS NOT S 50.00 AUTl-'s';1g~8'ii\li~d~iihtingANDONED FOR S 50,00 COM~hrNl;t-I) UK T;) /'Iu 'l:imileo,pnerltVlResidentia1 S 25.00 ANY 1 tlU U"y n:nllJu. LimIted Energy/Commercial S 45.00 2. ,G~~r~e.IDiN~~~rrttf)'i@NiWa ,,".,,~f ....~)t.~miUl~tf,~~!"''Yo~...''''''1l;.-'!~~~.:&.a:.~'F - Address i2 0 be<=; y'je.cAf\C :< I 55 (\ h \() q,t Phone c'8 Co-- S4lJ y Electrical Contractor . City ~' OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent Owners Signature: Inspcction Request: 726-3769 Sl06,OO S 19.00 ~ \ffi ,cIJ S50.00 B. ~~~~~EW~~~~~I!{li~1rii~~R~Jia~~- .. ~3W~"....~~~.-(. '.~~...~ l.> i', ,. 200 Amps or less 20 I Amps to 400 Amps 401 Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 AmpsNolts Reconnect Only S 63.00 S 75.00 $125.00 S163.00 S375.00 S 50.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4.~&jW@T~g~.!~~~.'" 'P!i!'~' \fV) OD it ..'2E"I~. .-.",(Hf~g;&:....~~ \ 11.). fJ.'L\ ._\t} .w. -flJ) S\ 7% State Surcharge 10% Administrative Fee TOTAL Shared Drivc(T:YBuilding FormslElectrical Permit Application 1-03.doc CITY OF S!GFIELD SYSTEMS DEVELOPMEN'-ORKSHEET JOURNAL OR JOB NUMBER: COM2003-0l172 NAME OR COMPANY: Gooden-Harrison Construction LOCATION: 2596 Maio Loop TAX LOT NUMBER: 17032514 Tax Lot 05300 DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE NEW DWELLING UNITS I BUILDING SIZE (SF' 0 LOT SIZE (SF): I. STORM DRAINAGE 5376 rI) ~ Cl o U '" ~ f0- ri) " ~ '" DIRECT RUNOFF TO CITY STORM SYSTEM 1 IMPERVIOUS S,F. x 1 COST PER S,F, CHARGE I I 2318,00 I $0,290 I = 1 $672,22 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S.F, 1 x I COST PER S,F. 1 x 1 DISCOUNT RATE I 1 DISCOUNT I 0.00 1 $0,290 I 1 50% ~ 1 $0,00 ITEM I TOTAL - STORM DRAINAGE SDC $672.22 $672.22 1070 2, SAN1TA.RY SEWER - CITY A. REIMBURSEMENT COST: 1 NUMBER OF DFU's 1 x I COST PER DFU 1 19 1 I $22.64 5430.16 1091 B. IMPROVEMENT COST: I NUMBER OF DFU's 1 x COST PER DFU I 19 1 $17,21 $326.99 11092 ITEM 2 TOTAL - CITY SANITARY SEWER SDC = , $757.15 l..:!MNSPORT A. TION A. REIMBURSEMENT COST: 1 ADT TRIP RATE I x : NUMBER IOF UNITS I x I COST PER TRIP x INEWTRlPFACTORI 1 9.57 I $17,23 I 1.00 $164.89 11093 B, IMPROVEMENT COST: I I ADT TRIP RATE I x 1 NUMBER OF UNITS I x I COST PER TRIP x 1 NEW TRIP FACTORI I 9,57 1 I I 1 $76.D1' 1 1.00 $727.42 1094 ITEM 3 TOTAL - TRANSPORTATION SDC = , $892.31 , 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: INUMBER OF FEU's 1 x ICOST PER FEU 1 I 1 I $314,63 = $314.63 11054 B, IMPROVEMENT COST: INUMBER OF FEU's 1 x ICOST PER FEU 1 I 1 $214,23 = $214.23 11055 MWMC CREDIT IF APPLICABLE (SEE REVERSE) ($154.78) 1054 MWMC ADMINISTRATIVE FEE $10.00 1056 ITEM 4 TOTAL - MWMC SANITARY SEWER SD< = I $384.08 SUBTOTAL (ADD ITEMS I, 2, 3, & 4) = I $2,705.76 5. ADMINISTRATIVE FEE: 1 SUBTOTAL I x I ADM, FEE RATE 1= CHARGE 1 $2.705,76 I 5% 1 $135.29 TOTAL SANITARY ADMINISTRATION FEE: 83.29 1079 TOTAL TRANSPORTATION ADMINISTRATION FEE: $52.00 11078 Matt Stouder 12/9/2003 TOTAL SDC CHARGES = $2,841.05 PREPARED BY DATE . . . .. DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE l NUMBER OF NEW FIX11JRES x UNIT EQUN ALENT - DRAINAGE FIX11JRE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIX11JRES) NO, OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS [BATHTUB 1 0 3 = 3 IDR1NKlNG FOUNTAIN 0 0 1 = 0 I FLOOR DRAIN 0 0 3 = 0 IINTERCEPTORS FOR GREASE / OIL 1 SOLIDS / ETC, 0 0 3 = 0 I IINTERCEPTORS FOR SAND / AUTO WASH 1 ETC, 0 0 6 = 0 I ILAUNDRY TUB 0 0 2 = 0 I ICLOTHESW ASHER / MOP SINK 1 0 3 = 3 I ICLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0 I IMOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0 I I RECEPTOR FOR REFRlG 1 WATER STATION /ETe. 0 0 1 = 0 I I RECEPTOR FOR COM, SINK / DISHWASHER 1 ETe. 0 0 3 = 0 I I SHOWER. SINGLE STALL 1 0 2 = 2 I I SHOWER. GANG (NUMBER OF HEADS) 0 0 2 = 0 I SINK: COMMERCiAuREsIDENTIAL KITCHEN 1 0 3 = 3 I I SINK: COMMERCIAL BAR 0 0 2 = 0 I I SINK: WASH BASINIDOUBLE LAVATORY 0 0 2 = 0 I ISINK: SINGLE LAVATORY/RESIDENTIAL BAR 2 0 1 = 2 :1 IURINAL. STALL / WALL 0 0 5 = 0 ITOILET, PUBLIC INSTALLATION 0 0 6 = 0 ITOILET, PRIVATE INSTALLATION 2 0 3 = 6 I MISCELLANEOUS DFU TYPE NUMBER OF EDU'S I 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 19 .EDU (EQuivalent Dwellim~ Unit) is a disc~ eauivalent to a sin21e family dwellinll unit (20 DFlYs) set at 167 JtD.Ilons ocr day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE ~ YEAR ANNEXED r BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 ]991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 -I I CREDIT RATE/$I,OOO 'I ASSESSED VALUE ' ".04 I S',04 I 04,9' I 04,88 I 04,7' 04,'8 $4.41 $4.20 S3.88 S3,'0 S3,07 S2,6O S2,14 SUI SU2 SU8 S1.19 St.03 SO.87 SO.68 SO.46 SO.27 SO.09 SO.04 IS LAND ELGIBLE FOR ANNEXATION CREDIT? (Enter I for Y CS, 2 for No) IS IMPROVEMENT ELGIBLE FOR ANNEX, CREDIT? (Enter I for Yes, 2 for No) BASE YEAR o 1979 CREDIT FOR LAND (IF APPLICABLE) VALUE 11000 CREDIT RATE $30.71 x $5.04 - , $154,78 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE /1000 CREDIT RATE $0,00 x $5,04 o = $154,78 TOTAL MWMC CREDIT I I I I